Loading...
NPI 1730277369 · Ville Platte, LA · Community/Retail Pharmacy
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Evangeline Drug Store Inc is a community/retail pharmacy provider located in Ville Platte, Louisiana. This profile covers 7 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Evangeline Drug Store Inc |
| Address | 10 W Main St |
| City | Ville Platte |
| State | LA |
| ZIP | 70586 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | October 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $20.4K |
| Medicaid | $0 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 30 | $280 | $8.7K |
| G0008 | Administration of influenza virus vaccine | 160 | $30 | $4.2K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 130 | $20 | $2.8K |
| 91320 | This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL. | 20 | $130 | $2.3K |
| G0009 | Administration of pneumococcal vaccine | 40 | $30 | $1.1K |
| 90688 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose. | 30 | $20 | $560 |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 20 | $30 | $540 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0001A | N/A | 10 | $0 | $0 |
| 0011A | N/A | 240 | $0 | $0 |
| 0012A | N/A | 220 | $0 | $0 |
| 0013A | N/A | 100 | $0 | $0 |
| 0064A | N/A | 80 | $0 | $0 |
| 90656 | This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 30 | $0 | $0 |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 200 | $0 | $0 |
| 90688 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose. | 20 | $0 | $0 |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 50 | $0 | $0 |
| 90756 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into… | 20 | $0 | $0 |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 0001A | N/A | 228 | 240 | 70 | $20 | $7K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 321 | 730 | 140 | $1 | $1.7K |
| 90756 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into… | 132 | 160 | 50 | $10 | $1K |
| 0012A | N/A | 54 | 490 | 60 | $10 | $680 |
| 90688 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose. | 160 | 220 | 60 | $1 | $670 |
| 0011A | N/A | 55 | 510 | 70 | $10 | $650 |
| 90656 | This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 165 | 210 | 70 | $1 | $360 |
| 0064A | N/A | 59 | 240 | 40 | $1 | $250 |
| 0013A | N/A | 28 | 130 | 40 | $1 | $250 |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 28 | 60 | 50 | $1 | $10 |
Showing 1–10 of 13
Other providers in the same ZIP code as Evangeline Drug Store Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Truth Faith 2 LLC | LA | In Home Supportive Care Agency | $0 | $18.9M |
| Medical Resources & Guidance | LA | Case Management Agency | $0 | $18.6M |
| True Home Care LLC | LA | Point of Service | $0 | $8.5M |
| Ben's Home Care | LA | Home Health Agency | $0 | $6.9M |
| Medical Resources & Guidance, Inc. | LA | Case Management Agency | $0 | $6.1M |
| Clhg-ville Platte LLC | LA | General Acute Care Hospital | $0 | $5.8M |
| Ville Platte Pediatrics PA | LA | Rural Health Clinic/Center | $0 | $5.7M |
| New Way Of Southwest La | LA | Community/Behavioral Health Agency | $0 | $5.2M |
| Strides Of Acadiana, LLC | LA | Home Infusion Agency | $0 | $4.8M |
| Ginger Delafosse | LA | Optometrist | $36.4K | $477.4K |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.